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As more leaders push Iowa to enforce stricter stay-at-home policies during the coronavirus pandemic, Gov. Kim Reynolds remained firm that internal data doesn’t say the extra measure is necessary.

“I can’t lock the state down,” Reynolds said at Tuesday’s news conference about the public health crisis. “I can’t lock everybody at home.”

She echoed her previous requests that Iowans limit how often they go out, minimize their contact and keep their distance from others. She has already shut down bars and many retail establishments, limited gatherings to 10 people or fewer and asked businesses to let employees work from home when possible.

Additional requirements could put undue strain on the supply chain and essential workforce, Reynolds has said.

Meanwhile, Iowa neared 500 positive tests of COVID-19, the disease caused by the coronavirus, on Tuesday and another individual — aged 41-60 and of Muscatine County — has died from the respiratory disease. Seven Iowans have died from it so far. There have been 6,888 negative tests for the disease administered. A Des Moines emergency room doctor predicted on Friday that there are five to 10 times more people actually infected than have tested positive.

Iowa Department of Public Health Deputy Director Sarah Reisetter declined to say if the state would prioritize widespread testing for a fuller picture of the spread.

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About a dozen parishioners return to in-person services at Trinity Baptist Church on Sunday, May 3, 2020, in Des Moines. This Sunday was the first Sunday all religious gatherings we're allowed to resume after previously being stopped by the Governor. Kelsey Kremer/The Register

Rev. Kimberly Abram-Bryant, center, and Melvin Shaw, left, speak to members of the congregation in their vehicles during a curbside communion service, Sunday, May 3, 2020, at the Bethel African Methodist Episcopal Church on South Governor Street in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

A line of caution tape strings the length of a bike rack outside the Tippie College of Business during the novel coronavirus pandemic, Sunday, May 3, 2020, on the University of Iowa campus in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Rev. Kimberly Abram-Bryant reads a confession with a group of men during a curbside communion service, Sunday, May 3, 2020, at the Bethel African Methodist Episcopal Church on South Governor Street in Iowa City, Iowa. The church has been hosting services on the Zoom video conferencing center due to the novel coronavirus pandemic. Joseph Cress/Iowa City Press-Citizen

Jessica Grace, co-owner of Main Street Sweets, decorates the front windows with hearts and writing, "#WBStrong" on the first day of eased restrictions due to the novel coronavirus, Friday, May 1, 2020, in West Branch, Iowa. Joseph Cress/Iowa City Press-Citizen

An image taken from a video produced by the Johnson County Sheriff's Office shows deputies disinfecting equipment in the facility during the COVID-19 pandemic in Iowa City. Johnson County Sheriff's Office

Golfers enjoy a sunny afternoon on the front half of the course during the novel coronavirus pandemic, Monday, April 27, 2020, at Brown Deer Golf Club in Coralville, Iowa. Joseph Cress/Iowa City Press-Citizen

Indianola High School Seniors Natalie Woosley and Bella Bingaman cheer as the clock hits 8:20PM, 20:20 in military time, in the parking lot of the Indianola football stadium on Monday, April 20, 2020, during a celebration for the Class of 2020 after classes for the rest of the year were canceled due to COVID-19. The school's Project Graduation Committee planned the event, asking people to gather inside their cars to watch the stadium and score board lit up. Kelsey Kremer/The Register

Veva Mary (Droll) Jenn waves to supporters after being handed a bouquet of flowers as family and friends parade past while celebrating her 104th birthday, Saturday, April 25, 2020, along Main Street in Hills, Iowa. She was born on her parents farm on Easter Sunday, April 23, 1916, north of Riverside, Iowa. Joseph Cress/Iowa City Press-Citizen

Cars streak along I-235 Tuesday, April 21, 2020, passing downtown and the State Capitol building. The Iowa State Patrol has seen the number of speeding tickets issued to drivers going more than 100 mph increase 46 percent since March 1. Zach Boyden-Holmes/The Register

An SUV has a large sheet draped over its hood, mimicking a face mask, as family members and friends get ready at Hills Ball Park before driving down Main Street in celebration of Veva Mary (Droll) Jenn's 104th birthday, Saturday, April 25, 2020, in Hills, Iowa. Joseph Cress/Iowa City Press-Citizen

Jim Parlowski of Des Moines pitches to his son, Mays, as Satchel Parlowski fields the balls behind second base, as they play baseball at the American Legion Park in West Des Moines on Friday, March 19, 2020. Bryon Houlgrave/The Register

Bruce Teague, mayor of Iowa City, speaks during a council meeting that is being held on a video conferencing system due to the coronavirus pandemic, Tuesday, April 21, 2020, at the Emma J. Harvat Hall inside City Hall in Iowa City, Iowa. Members of the public could participate in comment sections via an online connection or over the phone. Joseph Cress/Iowa City Press-Citizen

Lincoln activities director Heidi Evans holds up one of 1,100 HP ProBooks be scanned for students and families at Lincoln High School in Des Moines on April 17, 2020. Des Moines Public Schools will enact distance learning through the remainder of the 2020 school year.
Olivia Sun/The Des Moines Register

Alex Fitzgerald hands out one of more than 1,100 HP ProBooks to students and families at Lincoln High School in Des Moines on April 17, 2020. Des Moines Public Schools will enact distance learning through the remainder of the 2020 school year.
Olivia Sun/The Des Moines Register

Caution tape is wrapped around playground equipment while the park is closed due to the novel coronavirus outbreak in Louisa County, Tuesday, April 14, 2020, at City Park in Columbus City, Iowa. Joseph Cress/Iowa City Press-Citizen

Massage therapist and owner of East Village Spa Cassie Sampson poses for a portrait on April 22, 2020 in Des Moines. After laying off all 23 employees due to COVID-19, Sampson keeps the spa afloat with online product orders.
Olivia Sun/The Register

The Iowa Department of Public Health, the Department of Human Services and the National Guard operate a temporary testing site at the Toledo Juvenile Home to test long-term care facility staff Wednesday, April 22, 2020. Zach Boyden-Holmes/The Register

Annie Probst moves crates of potatoes from a Loffredo Fresh Foods truck on April 15, 2020 in West Des Moines. Nonprofit Eat Greater Des Moines distributes excess produce due to the coronavirus — discounted up to 80% per crate — to various charitable and religious organizations through central Iowa. Olivia Sun/The Register

Mike Probst lifts crates of cucumbers from a Loffredo Fresh Foods truck on April 15, 2020 in West Des Moines. Nonprofit Eat Greater Des Moines distributes excess produce due to the coronavirus — discounted up to 80% per crate — to various charitable and religious organizations through central Iowa. Olivia Sun/The Register

Justin Reiter poses in a cattle barn at his home on April 21, 2020 in Bernard, Iowa. Reiter's cattle farm has been passed down for over 175 years, and is now seeing losses of about $300 per head of cattle due to economic effects of the coronavirus. Olivia Sun/The Des Moines Register

People wave as the Stuart Fire Department passes by leading out the towns Scoop the Loop event on Saturday, April 11, 2020, in Stuart. The rolling parade of about 50 cars was put on as a way to get residents out of the house and help support local business who were selling food to-go. Brian Powers/The Register

Stadium lights shine for a 20 minute demonstration during the novel coronavirus pandemic, Friday, April 17, 2020, at Liberty High School in North Liberty, Iowa. Athletic departments across the state turned on the lights at stadiums in support of community members and students on the day that it was announced spring sports were canceled. There were 350 students set to participate in spring sports at Liberty. Joseph Cress/Iowa City Press-Citizen

Lincoln activities director Heidi Evans (left) and activities director Phil Evans register and scan one of 1,100 HP ProBooks to be given to students and families at Lincoln High School in Des Moines on April 17, 2020. Des Moines Public Schools will enact distance learning through the remainder of the 2020 school year.
Olivia Sun/The Des Moines Register

Adam Bohn, a sophomore Mechanical Engineering student at Iowa State, FaceTimes his girlfriend in the car as he plays with Aries, a 1.5 year old Domestic Shorthair, before adopting him from ARL on Thursday, April 16, 2020, in Ankeny. The ARL has limited the number of visitors per visit to limit possible exposure to COVID-19. Brian Powers/The Register

The Stuart Fire Department leads out the towns Scoop the Loop event on Saturday, April 11, 2020, in Stuart. The rolling parade of about 50 cars was put on as a way to get residents out of the house and help support local business who were selling food to-go. Brian Powers/The Register

The Stuart Fire Department leads out the towns Scoop the Loop event on Saturday, April 11, 2020, in Stuart. The rolling parade of about 50 cars was put on as a way to get residents out of the house and help support local business who were selling food to-go. Brian Powers/The Register

Annie Probst moves onions from a Loffredo Fresh Foods truck on April 15, 2020 in West Des Moines. Nonprofit Eat Greater Des Moines distributes excess produce due to the coronavirus — discounted up to 80% per crate — to various charitable and religious organizations through central Iowa. Olivia Sun/The Register

An unidentified skateboarder does a lap around the park after a rain shower, Monday, April 6, 2020, at the Iowa City Skate Park in Iowa City, Iowa. Skake parks were one of the additional spaces ordered to be closed by Iowa Gov. Kim Reynolds during a Monday morning press conference on the novel coronavirus, COVID-19. Joseph Cress/Iowa City Press-Citizen

Dan Ciha, Gay & Ciha Funeral Home funeral director and owner, is reflected in a mirror in the entryway while posing for a photo, Friday, April 10, 2020, at Gay & Ciha Funeral Home in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

A piece of graffiti artwork shows a person wearing a face mask, Monday, April 6, 2020, at the Iowa City Skate Park in Iowa City, Iowa. Skake parks were one of the additional spaces ordered to be closed by Iowa Gov. Kim Reynolds during a Monday morning press conference on the novel coronavirus, COVID-19. Joseph Cress/Iowa City Press-Citizen

A sign saying "Be Safe" is displayed on the Principal Park video board on Tuesday, April 7, 2020, in Des Moines. The Iowa Cubs home opener, scheduled for one week from today has been postponed because of the coronavirus. Kelsey Kremer/The Register

Rabbi Yossi Jacobson works to package Seder boxes at Maccabee's Deli on Monday, April 6, 2020, in Des Moines. The holiday is normally celebrated in large groups at families homes, but because of coronavirus many Seder dinners will be celebrated alone. Brian Powers/The Register

An unidentified skateboarder grinds a rail while doing a lap around the park after a rain shower, Monday, April 6, 2020, at the Iowa City Skate Park in Iowa City, Iowa. Skate parks were one of the additional spaces ordered to be closed by Iowa Gov. Kim Reynolds during a Monday morning press conference on the novel coronavirus, COVID-19. Joseph Cress/Iowa City Press-Citizen

University of Iowa senior Allie Stutting, 21, unloads groceries from a car while volunteering with the Iowa City Errand-ers, Friday, April 3, 2020, in North Liberty, Iowa. The group was started by UI students to deliver groceries to at-risk individuals during the novel coronavirus pandemic. Joseph Cress/Iowa City Press-Citizen

Rob Robison, Pre-Engineering teacher Summit Middle School uses 3D printers to make parts for medical face shields in the garage of his Johnston home Monday, April 6, 2020. Zach Boyden-Holmes/Pool, The Register

Alfredo Trejo is one of two parishioners worshipping in person as the Rev. Fabian Moncada celebrates Mass in a makeshift chapel as it's streamed live to followers of Our Lady of the Americas Church on Saturday, March 21, 2020, in Des Moines. Brian Powers/The Register

The Rev. P.J. McManus, of Christ the King Church, gives a blessing while hearing confession from Johnny, a parishioner of Christ the King, outside of the church's entrance on Tuesday, March 24, 2020, in Des Moines. McManus moved confession outside after the rise of COVID-19 in Iowa. Kelsey Kremer/The Register

Ballerina Lily Ungs, 17, of Urbandale, poses for a photo after performing a ballet dance for her grandparents, Jon and Elaine Lindgren, in the parking lot of their apartment on Grand Ave. in Des Moines on Wednesday, April 1, 2020. Bryon Houlgrave/The Register

Members of the National Guard's 734th Regional Support Group Task Force Central sit in on a Staff Synchronization Meeting on Tuesday, March 31, 2020, in Johnston. The meeting provides an update from each staff section to the TF Commander, LTC. Christopher Klein. Brian Powers/The Register

National Guard soldiers perform routine maintenance checks their LMTV 1088 before making a delivery of personal protection equipment to Marshalltown on Tuesday, March 31, 2020, in Johnston. Brian Powers/The Register

National Guard Specialist Aaron Metheny of Griswold, left, and PFC. Cesar Galvan of Marshalltown, right, deliver a load of personal protection equipment to the Marshall County Sheriffs office on Tuesday, March 31, 2020. "There is a different sense of pride and accomplishment," Galvan said of delivery supplies to his hometown. Brian Powers/The Register

Realtor Gina Swanson keeps her social distance while she shows two potential buyers around a newly-constructed home in Johnston on March 31, 2020. Swanson, though just as busy as usual, has adjusted to coronavirus by limiting personal contact with the typical handful of clients she sees in a day. "You have to break a lot of habits. I'm usually shaking hands, I almost always would hug all my clients ... I try not to put my hands together," Swanson said.
Olivia Sun/The Register

A Johnson County communications staffer holds a cell phone with a disinfectant wipe on it during a press conference on the novel coronavirus, COVID-19, Friday, April 3, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

A person walks along Clinton Street past the Old Capitol Building while in-person classes are canceled due to the novel coronavirus, Monday, March 30, 2020, on the University of Iowa campus in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Kelli Andresen, Public Information Officer, wipes down the podium between speakers during a press conference on the novel coronavirus, COVID-19, Friday, March 27, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Learning Begins Child Development Home employees, from left, Lucas Shatava, Amber Ereth and Sanela Salesevic play with kids, Thursday, March 26, 2020, in North Liberty, Iowa. Joseph Cress/Iowa City Press-Citizen

Rachel Miner, 15, left, of Emmetsburg, Iowa, sits with Carlotta Haas, 15, a foreign exchange student from Duesseldorf, Germany, who had been living with Miner and her family but was called home, as they waited for her flight Wednesday, March 25, 2020, in at Minneapolis-St. Paul International Airport in Minneapolis. Anthony Souffle / Star Tribune via AP

Ms. Emblen, a teacher at Beaver Creek Elementary School, drives through the school's neighborhood as a part of the Johnston Community School District teacher parade, on Wednesday, March 25, 2020, in Johnston. Signs on her car include a message to wash your hands and read. Kelsey Kremer/The Register

Johnston Community School District elementary teachers hold a teacher parade, driving, waving and honking their horns together to spread cheer to studnets out of classes because of the coronavirus on Wednesday, March 25, 2020, in Johnston. Kelsey Kremer/The Register

Kay Cmelik, Des Moines city clerk, works in the mostly empty Des Moines city council chamber as a virtual meeting of the council gets underway on Monday, March 23, 2020, at City Hall in Des Moines' East Village. The City Council held a virtual meeting, participating from their homes, because of the coronavirus. Kelsey Kremer/The Register

Des Moines Mayor Frank Cownie and Jeff Lester, city attorney, participate in a virtual - call in - city council meeting on Monday, March 23, 2020, in City Manager Scott Sanders' office at City Hall in Des Moines' East Village. The City Council held a virtual meeting, participating from their homes, because of the coronavirus. Kelsey Kremer/The Register

The Des Moines city council chamber is mostly empty during a virtual council meeting on Monday, March 23, 2020, at City Hall in Des Moines' East Village. The City Council held the virtual meeting, participating from their homes, because of the coronavirus. Kelsey Kremer/The Register

Laura Baumgartner, chief deputy city clerk, works in the mostly empty Des Moines city council chamber as a virtual meeting of the council gets underway on Monday, March 23, 2020, at City Hall in Des Moines' East Village. The City Council held a virtual meeting, participating from their homes, because of the coronavirus. Kelsey Kremer/The Register

Governor Kim Reynolds slides on her glasses while listening to a question from the press during a news conference on the state's COVID-19 coronavirus response on Sunday, March 22, 2020, at the State Emergency Operations Center in Johnston. Kelsey Kremer/The Register

Governor Kim Reynolds steps down from the small stage at the conclusion of a news conference on the state's COVID-19 coronavirus response on Sunday, March 22, 2020, at the State Emergency Operations Center in Johnston. Kelsey Kremer/The Register

Daydreams Comics owner Zach Power works at the front counter in the store while he unpacks a shipment of comic books, Tuesday, March 24, 2020, at Daydreams Comics on Dubuque Street in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Iowa City High Principal John Bacon, left, and Assistant Principal Natalee Swan deliver bags of food to families at a drive up pickup location while schools are closed, Monday, March 23, 2020, at City High School in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Marketing Director Annika Peick, right, leads Darcey Noyce as they stream a free yoga class at Power Life Yoga in Des Moines Monday, March 23, 2020. Many local Des Moines businesses that rely heavily on face-to-face interaction are taking digital avenues to stay in contact with their clients amid the novel coronavirus pandemic. Zach Boyden-Holmes/The Register

Cindy Williams of Des Moines works on making face masks at her home on Saturday, March 21, 2020, in Des Moines. "It's sad we have to do it," Williams said, "but it's a great opportunity to feel like you are doing something." Brian Powers/The Register

Cindy Williams of Des Moines works on making face masks at her home on Saturday, March 21, 2020, in Des Moines. "It's sad we have to do it," Williams said, "but it's a great opportunity to feel like you are doing something." Brian Powers/The Register

The Rev. Fabian Moncada puts on his robe before celebrates Mass in a makeshift chapel as it's streamed live to followers of Our Lady of the Americas Church on Saturday, March 21, 2020, in Des Moines. Brian Powers/The Register

Caution tape is wrapped around the doors to an athletic facility while school is closed due to the novel coronavirus, Friday, March 20, 2020, at Case Field, the home to the Washington High School football team, in Washington, Iowa. Joseph Cress/Iowa City Press-Citizen

A sign outside Liberty High School displays an image from the movie "Vacation" featuring John Candy with text reading, "Sorry folks school's closed," Thursday, March 19, 2020, along Dubuque Street in North Liberty, Iowa. Joseph Cress/Iowa City Press-Citizen

Shoppers at Fareway Grocery store pick out groceries while wearing masks during an hour designated for those more susceptible to the coronavirus on Thursday, March 19, 2020, in Des Moines. Brian Powers/The Register

The sign outside of Monroe Elementary School encourages people to wash their hands, cover their cough and stay home if sick, on Thursday, March 19, 2020, in Des Moines. All of Des Moines' public schools are currently shut down due to the spread of the coronavirus COVID-19. Kelsey Kremer/The Register

Des Moines Public School employee Daniel Brown sprays down a Men's bathroom with sanitizer at Central campus on Thursday, March 19, 2020, in Des Moines. The district is going through all of it's schools and cleaning and sanitizing every surface. Brian Powers/The Register

"I've faced a lot during my lifetime," said Nancy Rose, 65 of Des Moines, "but nothing I think this serious." Rose rubs hand sanitizer on her hands after checking out at Fareway Grocery store on Thursday, March 19, 2020, in Des Moines.
Fareway designated its first hour open for those more susceptible to the coronavirus. Brian Powers/The Register

A tent is set up outside of Mercy One's East Village urgent care clinic on Thursday, March 19, 2020, in Des Moines. The tent is meant for allowing health screenings, during the coronavirus COVID-19 outbreak, of patients without them needing to leave their cars. The tents were not in use today because of the weather. Kelsey Kremer/The Register

Fleur Fareway Grocery Manager Andrew DeGroote opens the door for shoppers during an hour designated for those more susceptible to the coronavirus on Thursday, March 19, 2020, in Des Moines. Brian Powers/The Register

DMPS IT Director Dan Warren, right and Technology Services Manager Dan Sloan, left, clean and sanitize computers at Central campus on Thursday, March 19, 2020, in Des Moines. Warren said the district has about 35,000 computers that will all be sanitized before students come back. Brian Powers/The Register

Court Avenue District is seen on Saint Patrick's Day 2020 in Des Moines. Restaurants, gyms, and churches closed at noon on March 17, 2020, a mandate ordered by Gov. Kim Reynolds to help mitigate the spread of COVID-19. The governor also prohibited gatherings of more than 10 people. Olivia Sun/The Register

Shoppers at Fareway Meat and Grocery line up before 8 am to pick out groceries during an hour designated for those more susceptible to the coronavirus on Thursday, March 19, 2020, in Des Moines. Brian Powers/The Register

Due with her sixth child in June, Shannon McDonald, 32 of Des Moines, shops at the Fleur Fareway Grocery store during an hour designated for those more susceptible to the coronavirus on Thursday, March 19, 2020, in Des Moines. "I am able come out and get what I want," McDonald said of being able shop with less worry. Brian Powers/The Register

A mask with writing reading, "Happy St. Paddy's Day," on a statue of Irving B. Weber while streets are empty following a state of emergency being declared in Iowa for coronavirus, COVID-19, closing bars and restaurants on St. Patrick's Day, Tuesday, March 17, 2020, in downtown Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Sparse eastbound traffic is seen on Interstate 235 at rush hour on March 17, 2020 in Des Moines. Restaurants, gyms, and churches closed at noon on March 17, a mandate ordered by Gov. Kim Reynolds to help mitigate the spread of COVID-19. The governor also prohibited gatherings of more than 10 people. Olivia Sun/The Register

Corinthian Baptist Church on March 17, 2020 in Des Moines. Restaurants, gyms, and churches closed at noon on March 17, a mandate ordered by Gov. Kim Reynolds to help mitigate the spread of COVID-19. The governor also prohibited gatherings of more than 10 people. Olivia Sun/The Register

Annie's Irish Pub on Saint Patrick's Day 2020 in Des Moines. Restaurants, gyms, and churches closed at noon on March 17, 2020, a mandate ordered by Gov. Kim Reynolds to help mitigate the spread of COVID-19. The governor also prohibited gatherings of more than 10 people. Olivia Sun/The Register

Dubuque Street is empty following a state of emergency being declared in Iowa for coronavirus, COVID-19, closing bars and restaurants on St. Patrick's Day, Tuesday, March 17, 2020, in downtown Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Reds Alehouse bartender and server Ryan Stanley takes an order while the restaurant is closed to walk in customers, Tuesday, March 17, 2020, at Reds Alehouse in North Liberty, Iowa. Joseph Cress/Iowa City Press-Citizen

Journalists practice social distancing during a press conference on coronavirus, COVID-19, Tuesday, March 17, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Only family and essential personnel watch the 1A state boys basketball championship game between Wapsie Valley and Bishop Garrigan on Friday, March 13, 2020, at Wells Fargo Arena in Des Moines. Brian Powers/The Register

A group of people work from Iowa's State Emergency Operations Center responding to the spread of the coronavirus COVID-19 to the state on Thursday, March 12, 2020, in Johnston. The Governor can enact the use of the center in times of emergency or disaster to facilitate greater collaboration or communication among state agencies. Kelsey Kremer/The Register

Youth members at the Willkie House sanitize their hands on March 13, 2020 before snack time. "A lot of the time at schools, you'll see kids just put it on — but for us, we're going all the way into the crevices now," said John Douglas, head of the after-school program. Willkie serves youth ages 5-18 and remains open through the week following the declaration of COVID-19 as a national emergency. Olivia Sun/The Register

Governor Kim Reynolds speaks to the press during a news conference to announce three presumptive COVID-19 coronavirus cases in Iowa on Sunday, March 8, 2020, at the Iowa State Capitol in Des Moines. Kelsey Kremer/The Register

Sophomore Hunter James packs up to leave campus before Spring Break on Thursday, March 12, 2020, in Des Moines. James said he is packing more since Drake is strongly encouraging students to remain at home for the two weeks following spring break. Brian Powers/The Register

Pastor Barrie Tritle speaks during a service, Sunday, March 15, 2020, at the First United Methodist Church in Iowa City, Iowa. The service was live streamed online without community members in the sanctuary after a case of community spread of coronavirus, COVID-19, had been reported in Iowa. Joseph Cress/Iowa City Press-Citizen

Dave Koch, Johnson County Public Health Director, speaks during a press conference providing an update on COVID-19 as an American Sign Language interpreter translates, Friday, March 13, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

A waiting room monitor displays symptoms of coronavirus on Mar. 6, 2020 at Broadlawns Medical Center in Des Moines. "The vast majority of people who get this new coronavirus are just going to have cold symptoms," said physician Jason Kruse. According to Kruse, the few who become very sick are ones contracting respiratory illness, which is believed to cause a majority of COVID-19 mortalities. Olivia Sun/The Register

Suresh Gunasekaran, University of Iowa Hospitals and Clinics CEO, speaks during a press conference providing an update on COVID-19 as an American Sign Language interpreter translates, Friday, March 13, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Governor Kim Reynolds speaks to the press during a news conference to announce three presumptive COVID-19 coronavirus cases in Iowa on Sunday, March 8, 2020, at the Iowa State Capitol in Des Moines. Kelsey Kremer/The Register

Signs for the 3A game sit in the stands during the 2A state boys basketball championship game at Wells Fargo Arena on Friday, March 13, 2020, in Des Moines. Boyden-Hull would go on to beat North Linn 64-51 to win the 2A championship. Brian Powers/The Register

Ashley Lawler of Wisconsin packs up her car with the help of Rebecca Clair of New York before Spring Break on Thursday, March 12, 2020, in Des Moines. Lawler said she is taking home more than she normally would for spring break and both sophomores said they had to change their spring break plans due to Coronavirus. Brian Powers/The Register

A bottle of Germ-X hand sanitizer is seen on a table during a service, Sunday, March 15, 2020, at the First United Methodist Church in Iowa City, Iowa. The service was live streamed online without community members in the sanctuary after a case of community spread of coronavirus, COVID-19, had been reported in Iowa. Joseph Cress/Iowa City Press-Citizen

Richard Hughes (right) hands out bananas to youth members on March 13, 2020 at the Willkie House in Des Moines. Willkie House staff have temporarily switched from using vinyl disposable gloves to nitrile ones for better fit and sanitation to prevent the spread of COVID-19.
Olivia Sun/The Register

Dr. Caitlin Pedati, Iowa Department of Public Health medical director and state epidemiologist, speaks to the press during a news conference to announce three presumptive COVID-19 coronavirus cases in Iowa on Sunday, March 8, 2020, at the Iowa State Capitol in Des Moines. Kelsey Kremer/The Register

A group of people work from Iowa's State Emergency Operations Center responding to the spread of the coronavirus COVID-19 to the state on Thursday, March 12, 2020, in Johnston. The Governor can enact the use of the center in times of emergency or disaster to facilitate greater collaboration or communication among state agencies. Kelsey Kremer/The Register

Margo Ryan stands in her bedroom with portraits of herself with her husband Ron who is in hospice at the Sunny View Care Center in Ankeny Wednesday, March 11, 2020. Margo is no longer able to visit her husband because the center is locked down due to concerns about Coronavirus. Zach Boyden-Holmes/The Register

Sophomore Hunter James packs up to leave campus before Spring Break on Thursday, March 12, 2020, in Des Moines. James said he is packing more since Drake is strongly encouraging students to remain at home for the two weeks following spring break. Brian Powers/The Register

Drake students pack up to leave campus before Spring Break on Thursday, March 12, 2020, in Des Moines. Drake University is moving to online classes from March 23ÑApril 3, 2020 and is strongly encouraging students to remain at home for the two weeks following spring break. Brian Powers/The Register

Dave Koch, Johnson County Public Health Director, holds a piece of paper with information from the Centers for Disease Control and Prevention during a press conference providing an update on COVID-19, Friday, March 13, 2020, at the Johnson County Emergency Operations Center in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

DJ Smith, 11, uses hand sanitizer on March 13, 2020 at the Willkie House in Des Moines. The after-school program, serving youth ages 5-18, is one of few to remain in operation though Des Moines Public Schools' closing until March 30.
Olivia Sun/The Register

Dr. Caitlin Pedati, Iowa Department of Public Health medical director and state epidemiologist, speaks during a news conference on March 10, 2020, at the Iowa State Capitol. As of March 10, seven of eight positive coronavirus cases are related to the same Egyptian cruise, and 22 Iowans on a different Grand Princess Cruise have been in contact with the Department of Health. Olivia Sun/The Register

Rod Lehnertz, University of Iowa senior vice president for finance and operations, speaks during a press conference providing an update on COVID-19, Wednesday, March 11, 2020, at the Iowa Memorial Union on the University of Iowa campus in Iowa City, Iowa. Joseph Cress/Iowa City Press-Citizen

Only family and essential personnel watch the 1A state boys basketball championship game between Wapsie Valley and Bishop Garrigan on Friday, March 13, 2020, at Wells Fargo Arena in Des Moines. Brian Powers/The Register

A group of people work from Iowa's State Emergency Operations Center responding to the spread of the coronavirus COVID-19 to the state on Thursday, March 12, 2020, in Johnston. The Governor can enact the use of the center in times of emergency or disaster to facilitate greater collaboration or communication among state agencies. Kelsey Kremer/The Register

“As increased testing becomes available, certainly there will be access for more Iowans to testing,” Reisetter said. “But at this point in time, it doesn't necessarily change the treatment for somebody who's been diagnosed with the coronavirus. At this point in time, there are no specific therapeutics or medication; there isn’t a vaccine for the virus.”

Linn County, home of a Cedar Rapids long-term care facility that has been identified as having an “outbreak” of coronavirus, has the most positive cases in the state with 90. The facility, Heritage Specialty Care, is tied to 30 of those cases, Reynolds said.

Care Initiatives, the parent company of Heritage Specialty Care, declined to comment on the number of cases related to the facility and deferred to the IDPH on Tuesday afternoon. An IDPH spokesperson has not responded to a request for how many COVID-19 patients are residents of the facility and how many are care providers at the facility.

The facility has instituted a no visitors policy since March 11 and all direct care staff are donning full protective gear before caring for residents. Infected residents have also been isolated from others in the facility, according to a statement.

A population’s age and vulnerability to a disease, such as those at a long-term care facility, are key metrics for determining if the state or a region should have stricter policies, Iowa officials have said.

Iowa is one of about 20 states that have not issued a shelter-in-place or stay-at-home order, according to USA TODAY.

The mayors of Des Moines and Iowa City, the of the state's larger cities, called for Reynolds to issue the more drastic orders last week.

Iowa Department of Public Health officials expect the number of cases in the state to reach a first peak in two or three weeks. Reynolds said she’s convened a working group of health care providers, hospitals, the Iowa National Guard and county emergency management agencies to prepare for a “potential surge” in cases.

“They’re planning for the worst,” Reynolds said, adding that they’re hoping current mitigation strategies will keep the state’s health care system from being overwhelmed. “… They’re looking at bed capacity, they’re looking at (intensive care unit) beds, they’re looking at vents, they’re looking at (personal protective equipment), they’re looking at what happens if one certain hospital reaches their capacity of beds.”

She expects a report detailing that Thursday.

On Monday, she asked Iowans who can sew to make reusable masks for health care providers based on IDPH guidelines, and highlighted efforts from private businesses and individuals to help Iowa through the crisis.

Large Iowa gatherings further away in the calendar have started to postpone and cancel.

On Tuesday, Adventureland pushed its 2020 opening date back two weeks and continues to monitor safety directives in regard to COVID-19.

The Altoona amusement park was slated to open May 2, but will instead open May 16. Adventureland was also scheduled to be closed May 19-21, but instead will be open on those days, the park said on its website.